GuildNet Gold

GuildNet Gold Resources

GuildNet Gold Resources

Plan information
Provider and pharmacy lists
Other important documents
Contact

Contact Info

GuildNet Gold
250 West 57th Street, 10th Floor
New York, NY 10107
800-815-0000 (TTY 711)
Monday through Sunday, 8am to 8pm
gninfo@lighthouseguild.org

The GuildNet Gold HMO special needs plan offers many advantages:

  • You can live in your community as long as possible.
  • Prescription drugs are covered.
  • There are no co-pays for all services.
  • No monthly premiums.

Are you eligible?

To enroll, you must:

  • Be 18 or older
  • Live in Brooklyn, Queens, Manhattan, the Bronx, Staten Island, or Nassau or Suffolk Counties
  • Have Medicaid AND Medicare Part A & B
  • Be capable of returning to or living in your community safely
  • Be expected to need care management and long-term care services for at least 120 days

Your savings with GuildNet Gold

Because you’re eligible for Medicaid, you automatically receive extra help paying for your premiums, deductibles and co-pays. As a member of GuildNet Gold, you pay:

  • $0 Plan premium for medical and prescription drug benefits
  • $0 Deductible

$0 Co-pays for covered medical benefits

And you have no Part D coverage gap.

What’s covered?

  • Physician care (primary and specialty care)
  • Inpatient hospital care
  • Home health care, including personal care
  • Emergency and urgent care
  • Rehabilitation
  • DME/Supplies
  • Adult day health care
  • Personal emergency response system
  • Hearing and vision services
  • Case management
  • Health/Wellness education
  • Dental
  • Transportation (routine and emergent)
  • Medicare Part D prescription drugs

Important Notes about GuildNet Gold:

GuildNet Gold is a HMO SNP plan with a Medicare and New York State Medicaid contract. Enrollment in GuildNet Gold depends on contract renewal.

This information is not a complete description of benefits. Contact the plan for more information.

Limitations, copayments and restrictions may apply.

Benefits, premium and/or copayments/co-insurance may change on January 1 of each year.

You must continue to pay your Medicare Part B premium and any other applicable Medicare premium(s), if not otherwise paid by Medicaid or another third party.

This plan is available to anyone who has both Medical Assistance from the State and Medicare.

Premium, co-pays, co-insurance and deductibles may vary based on the level of Extra help you receive. Please contact the plan for further details.

This information is available for free in other languages. Please contact our customer service number at 1-800-815-0000, from 8 a.m. to 8 p.m., Monday through Sunday. TTY users should call 800-662-1220 from 8 a.m. to 8 p.m., Monday through Sunday for additional information.

Esta información está disponible sin cargo en otros idiomas. Por favor llame a los números de Servicio al miembro al 1-800-815-0000 (solo los usuarios de TTY: 800-662-1220) para obtener información adicional. El Servicio al miembro está disponible lunes a domingo, de 8am a 8pm.

H6864_GN517_2017Website_Approved
Last Updated: 5/17/2017